Texas Chiropractic eSource

The Texas Chiropractic eSource is your connection to Texas Chiropractic news, updates and events and is emailed to members on a bi-weekly basis.

If there is news that you believe needs to be shared with the profession please send the news, or a link to the news to [email protected]

President's Message February 2019
Written by Devin Pettiet, DC   
Friday, February 08, 2019 01:25 PM

The biggest day of the year for Texas chiropractors is right around the corner – TCA Legislative Day on Thursday, February 14. That’s correct, it’s Valentine’s Day and Cupid – that’s me – wants you to join your friends from TCA in Austin to “Show Your Love for Chiropractic!” 

As of this moment, more than 500 doctors, staff and supporters have signed up, not to mention several busloads of students and faculty from Parker University and Texas Chiropractic College. A big thank you to Parker President Dr. Bill Morgan and TCC President Dr. Stephen Foster. You’ve galvanized your campuses and the excitement about TCA Legislative Day is incredible. 

In 2017, we shattered our record with 600+ participants – the largest turnout by any state, by far. Less than a week out, we could set a new one. We’re already well past 500 registrants. While our numbers are outstanding, we could use a few more doctors – particularly constituents in House and Senate districts from South Texas, West Texas and the Panhandle. We’re more likely to secure meetings with the actual legislator if a voter is in the room. Friday, February 8, is the deadline to register online for TCA Legislative Day, so don’t wait!

You’re probably wondering what happens at these meetings on TCA Legislative Day. Essentially, our job is to educate state officials about chiropractic – specifically your education, training and the benefits to your patients. We also are hoping to identify sponsors and supporters for pro-chiropractic bills that will create greater access to chiropractic care for all Texans.

Call for Nominations for P. A. Willmon Memorial Award
Written by Editor   
Wednesday, February 06, 2019 12:00 AM

The P. A. Willmon Memorial Award is an award presented by the Texas Chiropractic Association to recognize a recipient from, or serving the people of a rural area. 

If you are aware of a TCA member who is from a rural area of fewer than 100,000 or who has served the TCA and/or chiropractic patients within a rural area, please forward a nomination and your reasons for consideration to the TCA office at 1122 Colorado, suite 307, Austin, TX 78701.

Deadlines for nomination are January 17th, 2020.

What is Primary Care?
Written by Chris G Dalrymple, DC, FICC   
Tuesday, February 05, 2019 06:16 PM

Primary care: “the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community.” 

Primary Care is a term often used, and often abused. The word primary is from Latin primarius “of the first rank, chief, principal, excellent”; care is from Old English indicating “burdens of mind; serious mental attention.”  The term primary care is thought to date back to about 1920, when the Dawson Report was released in the United Kingdom to indicate centers intended to become the hub of regionalized services in that country.

Positive evidence of the health-promoting influence of primary care has been accumulating ever since researchers have been able to distinguish primary care from other aspects of the health services delivery system; namely specialty care.

Does maintained spinal manipulation therapy for chronic nonspecific low back pain result in better long-term outcome?
Written by Editor   
Tuesday, February 05, 2019 01:15 PM

A prospective single blinded placebo controlled study was performed to assess the effectiveness of spinal manipulation therapy (SMT) for the management of chronic nonspecific low back pain (LBP) and to determine the effectiveness of maintenance SMT in long-term reduction of pain and disability levels associated with chronic low back conditions after an initial phase of treatments.  It concluded that SMT is effective for the treatment of chronic nonspecific LBP. To obtain long-term benefit, this study suggests maintenance SM after the initial intensive manipulative therapy.

ALJ Pokes Hole In ‘Dry Needling’ Rule
Written by Editor   
Tuesday, February 05, 2019 01:05 PM

Florida physical therapists cannot offer “dry needling” procedures to their patients, a state judge ruled in a legal challenge filed by a group representing acupuncturists. 

An Administrative Law Judge (ALJ) issued an order rejecting a proposed rule by the Florida Board of Physical Therapy that set minimum standards for physical therapists to use dry needling. The ALJ said the proposal exceeded the Board of Physical Therapy’s “grant of rulemaking authority because it would expand the scope of physical therapy practice, not merely establish a standard of practice.”

Dry needling is the name physical therapists use to describe a technique of inserting filiform needles into the skin at various “trigger points,” which causes certain responses. Filiform needles --- which are used for acupuncture --- are solid. They cannot be used to inject substances or medicine, hence the word “dry.”

Physical therapists in more than 30 states practice dry needling, but it is not authorized by law in Florida.

Physical Therapy. FAQs from the Executive Council of PTOT
Written by Editor   
Tuesday, February 05, 2019 12:50 PM

The PT Practice Act states that Physical therapy means a form of health care that prevents, identifies, corrects, or alleviates acute or prolonged movement dysfunction or pain of anatomic or physiologic origin.”

It further notes that “the board may deny a license or suspend or revoke a license, place a license holder on probation, reprimand a license holder, impose an administrative penalty, or otherwise discipline a license holder if the applicant or license holder has: (1) except as provided by Section 453.301 or 453.302,provided physical therapy to a person without a referral from a referring practitioner” (emphasis added).

The act notes that “referring practitioner means a qualified licensed health care professional who, within the scope of professional licensure, may refer a person for health care services. The term includes:(A) a physician …(B) a dentist… (C)  a  chiropractor…and (D) a podiatrist….”

At their website the the PTOT has a FAQ page.  Some of the more interesting answers to their frequently asked questions include:

New Details About Marketing of OxyContin
Written by Editor   
Tuesday, February 05, 2019 12:15 PM

lawsuit filed by the state of Massachusetts against the drug maker Purdue Pharma alleges that the company, the Sackler family (whose members have long constituted the majority of Purdue board members), and other company executives, misled prescribers and patients as they aimed to blanket the country with prescriptions for their addictive medications.  

As questions were raised about the risk of addiction and overdoses that came with taking OxyContin and opioid medications, Richard Sackler outlined a strategy that critics have long accused the company of unleashing: divert the blame onto others, particularly the people who became addicted to opioids themselves.  Sackler claimed that Purdue’s drugs shouldn’t need a legally mandated warning. He wrote in an email cited in the complaint that the warning “implies a danger of untoward reactions and hazards that simply aren’t there.”

The Massachusetts complaint sketches an image of the Sacklers, as board members, exercising tight control over the company, overseeing the deployment of a phalanx of sales representatives who were pushed to get Purdue medications into more hands, at higher doses, and for longer periods of time. The Sacklers, the complaint states, reaped “billion of dollars,” even as the company blurred the risks of addiction and overdose that came with the drugs.  

Over-the-Counter Category Coming for Hearing Instruments
Written by Editor   
Tuesday, February 05, 2019 11:42 AM

Hearing instruments or hearing aids are regulated at the federal level as medical devices by the U.S. Food and Drug Administration (FDA). 

Changes are being made at the federal level regarding hearing instruments.  In August 2017, the U.S. Congress passed the FDA Reauthorization Act of 2017 (FDARA)which in part defines “over-the-counter hearing aid,” requires the FDA to establish a category of over-the-counter (OTC) hearing aids, and specifies certain requirements that must be included in the FDA regulations. 

The FDA is in the process of drafting proposed regulations for a new category of over-the-counter hearing aids. The FDA must publish the proposed regulations for public comment by August 18, 2020 and publish the final regulations not later than 180 days after the comment period closes. 

Obituary: Carlos Xavier Domino, D.C.
Written by Editor   
Sunday, January 27, 2019 08:31 PM

Carlos Xavier Domino, 74, of Houston, Texas, passed away January 24, 2019.  Dr. Domino was born in Harlingen, Texas on June 21, 1944 to Alicia Diana Vela and Freddie Rodriguez and was raised in Raymondville, Texas.

 A visitation will be held on Sunday, February 3, from 5:00-8:00 pm, with funeral services on Monday, February 4, at 12:00 pm at American Heritage Funeral Home (10710 Veterans Memorial Drive Houston, Texas 77038). A committal service at Houston National will follow at 1:15 pm.

A Great Week with ACA in Washington, DC; TCA Legislative Day, TCLC Next
Written by Jeff Jenkins   
Friday, January 25, 2019 05:20 PM

Executive Director’s Message

There is nothing quite like seeing advocacy in action.

That was the case at the American Chiropractic Association’s National Chiropractic Leadership Conference (NCLC) on January 16-19 in Washington, DC. In addition to attending NCLC, the Texas Chiropractic Association participated in Capitol Hill visits. I was thrilled to be in our nation’s capital along with TCA President Dr. Devin Pettiet, Vice President Dr. Chad Carpenter, Legislative Affairs Chair Dr. Don White and TCA Past Presidents Tyce Hergert, Mike Martin and Dale White, Jr.

Team Texas was all over the Capitol, joining students from Parker University Student ACA (SACA) on visits with more than dozen Congressional offices. The purpose was to educate Senate and House members from Texas and their staff about chiropractic issues, not to mention identify champions for two of ACA’s key initiatives – Medicare and TRICARE.

DCs Step Up as Radiation Emergency Screeners
Written by Editor   
Tuesday, January 15, 2019 06:20 PM

It is only a matter of time before a device with real or suspected radioactivity could be employed.  in addition, radiological material is often transported via train or highway, with the potential of an accidental spillage.

Despite the fact that such an occurrence would truly impact a limited number of people, there will be a large segment of the population that will need or wish to be screened for exposure. 

In an ideal response after a radiological “event” of some kind, there should be a designated location for the obviously exposed individuals to gather for evaluation, decontamination and treatment.  There should also be separate locations where those who are concerned, but were not in the immediate vicinity of the incident, can go for screening and education.   DCs in Arkansas have stepped up to help fill this niche.

Effect of Chiropractic on Reaction Time of Special Operations Forces Military Personnel
Written by Editor   
Tuesday, January 15, 2019 05:53 PM

Chiropractic manipulative therapy (CMT) has been shown to improve reaction time in some clinical studies. Slight changes in reaction time can be critical for military personnel, such as special operation forces (SOF). This trial was conducted to test whether CMT could lead to improved reaction and response time in combat-ready SOF-qualified personnel reporting little or no pain.

This prospective, randomized controlled trial was conducted at Blanchfield Army Community Hospital, Fort Campbell, KY, USA. Active-duty US military participants over the age of 19 years carrying an SOF designation were eligible. Participants were randomly allocated to CMT or wait-list control. One group received four CMT treatments while the other received no treatment within the 2-week trial period. One hundred and seventy-five SOF-qualified personnel were screened for eligibility; 120 participants were enrolled, with 60 randomly allocated to each group. 

When Medicine Makes People Sicker
Written by Editor   
Tuesday, January 15, 2019 05:42 PM

Since the start of 2013, pharmaceutical companies based in the U.S. or abroad have recalled about 8,000 medicines, comprising billions of tablets, bottles, and vials that have entered the U.S. drug supply and made their way to patients' medicine cabinets, hospital supply closets, and IV drips. The recalls represent a fraction of the medicines shipped each year. But the flawed products contained everything from dangerous bacteria or tiny glass particles to mold -- or too much or too little of the drug's active ingredient.

Over the same period, 65 drug-making facilities recalled nearly 300 products within 12 months of passing a Food and Drug Administration inspection.  Those recalls included nearly 37,000 generic Abilify tablets that were "superpotent," and nearly 12,000 boxes of generic Aleve (naproxen) that were actually ibuprofen, according to the recall data.

Just how often people are sickened or die from tainted drugs is next to impossible to determine. No government agency tracks cases unless they're linked to a major outbreak among hospital patients. And sudden, seemingly random illnesses in disparate places are notoriously hard to link to a tainted drug. That’s in part because drugmakers don't have to divulge which products are made in which manufacturing plants, since that is regarded as proprietary information.  The result: Even someone who buys drugs for a major hospital can’t track down where a potentially dangerous product came from.

NYC Promises 'Guaranteed' Healthcare for All Residents
Written by Editor   
Tuesday, January 15, 2019 05:22 PM

The city of New York is launching a program to guarantee that every resident has health insurance, as well as timely access to physicians and health services, Mayor Bill de Blasio announced.  "From this moment on in New York City, everyone is guaranteed the right to healthcare -- everyone. We are saying the word 'guarantee' because we can make it happen."  

The program, which will cost $100 million annually, involves several parts. First, officials will work to increase enrollment in MetroPlus, which is New York's public health insurance option. The mayor's office also said the new effort "will improve the quality of the MetroPlus customer experience through improved access to clinical care, mental health services, and wellness rewards for healthy behavior."  The mayor promised that no tax increases are needed to fund the program; the $100 million will come from the city's existing budget, currently about $90 billion.

NYC Care will launch in summer 2019 and will roll out gradually in different parts of the city, starting in the Bronx, according to the release. It will be fully available to all New Yorkers across the city's five boroughs in 2021.

It’s Party Time – Join Us at TCA Legislative Day, TCLC in Austin
Written by Don White, DC, FICC   
Friday, January 04, 2019 03:25 PM

The holidays are behind us and 2019 is here, but there’s another party or two to attend and I am inviting you as my personal guest.

Valentine’s Day also is TCA Legislative Day, the biggest event of the year for Texas chiropractors. “Show Your Love for Chiropractic!” by joining us in Austin on Thursday, February 14.

Why do you need to be at TCA Legislative Day? The 86th Texas Legislative Session kicks off next week and TCA and all Texas chiropractors have a lot at stake. The threats to chiropractic are as real as they were in 2017, when the Texas Sunset Advisory Commission and Texas Legislature debated your right to diagnose. Guess what? We won and one of the reasons was your passion and commitment to chiropractic.

So, you might be thinking, what’s the next crisis? While the Third Court of Appeals reconsiders last month’s decision in the TMA v. TBCE/TCA lawsuit and we prepare to take our case to the Texas Supreme Court, your ability to treat nerve-related conditions (including the subluxation complex) is at risk. Clearly, the only way to prevent these frivolous lawsuits is to find a legislative solution. Consequently, TCA plans to file a bill that would include the neuromusculoskeletal system within our chiropractic scope.

TCA Winter Legislative Update
Written by Kaden Norton and Joshua Massingill, StateCraft   
Friday, January 04, 2019 10:43 AM

By: Kaden Norton and Joshua Massingill, StateCraft

The turning of the calendar from 2018 to 2019 means Texas’ 86th Legislative Session is nearly here! Next week, legislators from across the state will descend upon Austin to address the issues facing Texas and Texans. Just as the New Year brings a sense of hope and opportunity for each of us, so too does the upcoming session for Texas chiropractors.  

Texas’ 86th Legislative Session begins on January 8 and continues for 140 days until May 27. In the Texas House of Representatives, the members’ first action will be to elect a new Speaker (due to past-Speaker Joe Straus’ retirement). Rep. Dennis Bonnen (R-Angleton) has secured the necessary votes to become the next Speaker. During the first few weeks of the session, the newly-elected Speaker and the Lieutenant Governor will appoint representatives and senators, respectively, to various committees on topics such as transportation, education, criminal justice and healthcare. Once these committee assignments are made, legislative committees will begin holding hearings to consider legislation. To reach the Governor’s desk, a bill must win the approval of both a House and Senate committee and then receive a favorable vote from the full House and Senate. Historically, only 20-25% of filed bills survive the lengthy and difficult process to become law. 

Nominate a Colleague for an Award
Written by Editor   
Tuesday, January 01, 2019 12:00 AM
The deadline for nominations for the Keeler Plaque and the Young Chiropractor of the year is rapidly approaching.

Make your nomination by May 17!

To nominate, just legibly write or type your nomination and mail it to the Texas Chiropractic Association at 1122 Colorado, Suite 307, Austin TX 78701.  Make sure to put “Keeler” or “Young Chiro” on the envelope and it will be distributed to the appropriate committee unopened

TCA Announces Continued Relationship with Tax Favored Benefits, Official Retirement Plan Provider of TCA
Written by Editor   
Thursday, December 20, 2018 11:32 AM

The Texas Chiropractic Association (TCA) is pleased to announce the renewal of its partnership with Tax Favored Benefits (TFB), the official retirement plan provider of TCA.

TCA encourages the chiropractic community to consider TFB for their personal and business’ retirement planning needs. TFB helps clients by designing strategies to efficiently implement financial planning goals. TCA entrusts their retirement and financial planning to the expertise of TFB.

ACA's NCLC Becomes "ACA Engage"
Written by Editor   
Friday, December 14, 2018 12:12 PM

The American Chiropractic Association (ACA) has announced plans to rename its annual meeting “ACA Engage” beginning in 2020. The new name is part of the association’s ongoing efforts to position members for success by bringing them cutting-edge education, networking and leadership-development opportunities, and the chance to lobby Congress on behalf of their patients and the profession. 

The National Chiropractic Leadership Conference (NCLC) has long been known for bringing together industry leaders from all over the country to meet with members of Congress on Capitol Hill, and engaging legislators will always be a priority. Over the past several years, however, the program has expanded considerably to include a wide variety of education offerings (with CE credit available), speeches from respected thought leaders and panel discussions that delve into some of the profession’s most compelling and important topics. The new name better reflects the expanded focus of the conference.